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PENGARUH TINGKAT KEJENUHAN TERHADAP KINERJA PERAWAT WANITA DI RUANG RAWAT INAP RUMAH SAKIT UMUM ROYAL PRIMA TAHUN 2018 Dzul Akbar Insani; Sri Lestari Ramadhani Nasution; Suci Erawati; Rapael Ginting
Jurnal Mutiara Kesehatan Masyarakat Vol 3 No 1 (2018): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.967 KB)

Abstract

One of the factors that influence the success rate of hospitals is the performance of nurses. Efforts to improve nurse performance, on the other hand, are to pay attention to nurse work stress. The purpose of this study was to determine the factors that cause stress on the performance of female nurses in the inpatient room. The type of research used is cross-sectional survey research using the explanatory research method. The population is 41 nurses and the entire nurse is used as the respondent (total sampling). Data were analyzed using Chi-square test and logistic regression to obtain OR (Odds Ratio). The results showed the relationship between communication and performance (p = 0.012) and OR value was 6.708 which means that communication with good communication will improve performance by 6.7 times. Saturation of performance (p = 0.006) and OR value is 6.667 means that nurses with a degree of saturation that are overcome well will improve performance by 6.6 times. Award for performance (p = 0.006) and OR value is 6.667 meaning that nurses with good recognition and recognition will improve performance by 6.6 times. Income to performance (p = 0.004) and OR value is 8.762 means that nurses with good income will increase performance by 8.7 times. However, there is no relationship between performance and performance (p = 0.091) and the OR value is 3.102 and the family for performance (p = 0.380) and OR value is 2,000. It is expected that the hospital will pay more attention to the needs and comfort of nurses in carrying out daily tasks in the hospital.
HUBUNGAN KEHANDALAN TERHADAP PELAYANAN DOKTER SPESIALIS DI INSTALASI RAWAT JALAN RUMAH SAKIT UMUM DAERAH EMBUNG Arie - Vonikartika; Ermi Girsang; Ali Napiah Nasution; Sri Lestari Ramadhani Nasution
Jurnal Mutiara Kesehatan Masyarakat Vol 3 No 2 (2018): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.288 KB)

Abstract

Hakikat dasar dari Rumah Sakit yaitu pemenuhan kebutuhan dan tuntutan pasien yang mengharapkan penyelesaian masalah kesehatannya pada rumah sakit. Pasien mengharapkan pelayanan yang siap, cepat, tanggap dan nyaman dengan keluhan penyakit pasien dalam memenuhi kebutuhan pasien tersebut, pelayanan prima menjadi hal utama dalam pelayanan di Rumah Sakit. Untuk dapat menerapkan etika kedokteran dalam praktek sehari-hari kita perlu meningkatkan keterampilan berkomunikasi dan menimbulkan rasa empati. Komunikasi yang menimbulkan rasa empati merupakan tiang penyangga yang penting untuk meningkatkan etika kedokteran. Penelitian ini bertujuan untuk mengetahui hubungan kehandalan terhadap pelayanan dokter spesialis di Rumah Sakit Umum Daerah Embung Fatimah Kota Batam tahun 2018. populasi penelitian adalah seluruh pasien Rawat jalan di Poliklinik Spesialis Rumah Sakit Umum Daerah Embung Fatimah Kota Batam tahun 2018, dengan jumlah sampel sebanyak 95 responden, yang diambil secara stratified sampling. Berdasarkan uji statistik tabel di atas dapat dilihat bahwa pada 37 pasien yang merasa kurang puas di antaranya 11 pasien mendapat pelayanan kurang baik dan 26 pasien mendapat pelayanan baik. Pada 32 pasien yang merasa puas di antaranya 10 pasien mendapatkan pelayanan kurang baik dan 22 pasien mendapatkan pelayanan baik. Pada 26 pasien di antaranya 10 pasien mendapat pelayanan kurang baik dan 16 pasien mendapatkan pelayanan baik. Penilaian yang dilakukan oleh pasien terhadap pelayanan yang diberikan oleh dokter spesialis mayoritas sudah baik, untuk itu diharapkan dokter tetap mempertahankan pelayanan yang diberikan serta terus ditingkatkan ke arah yang lebih baik. Kata Kunci : Kehandalan, Pelayanan Dokter Spesialis.
Analysis Level of Satisfaction Student P3d for Distance Learned Based End-User Computing Satisfaction (Eucs) Method in the COVID-19 Era Anita Merry Cisca; Sri Wahyuni Nasution; Sri Lestari Ramadhani Nasution; Ermi Girsang
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 4, No 2 (2021): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i2.1847

Abstract

This work aims to investigate an Indonesian EFL student’s perceptions and experiences in repeatedly doing standardized English language proficiency test: TOEIC (Test of English for International Communication) and TOEFL (Test of English as a Foreign Language). This standardized test has a significant role in the academic and professional lives of students (Anam, 2019); it contributes positively to students’ language proficiency and their future employment if they have higer and valid score in the test (Hsieh, 2017). This present study interviewed an Indonesian EFL student at a National University in Taiwan running an international program. The study participant passed the exam, but she did it repeatedly before she could pass it. This study used a qualitative phenomenological approach with an in-depth interview. The relevant findings illustrate that the participant reveals the reasons for failing the test: lack of self-awareness, lack of self-confidence, and the distance of the test venue from her dormitory. On the contrary, she passed the test by doing online simulation exam individually and modifying her study skills while preparing for the test. The failure process had a positive impact on her in making her to know her ability.
Improving Methods Work Productivity of Medical Record Room Staff in Hospital Management Information a Regional General Hospital of Padang Sidempuan Nadia Zenni Andari; Sri Lestari Ramadhani Nasution; Ali Napiah Nasution; Ermi Girsang
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 4, No 2 (2021): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i2.1828

Abstract

This study aims to determine and describe the work productivity of staff in the medical record room in the implementation of HMIS in Padangsidimpuan City Hospital and what factors influence it. This research is a kind of survey research with a descriptive non hypothesis qualitative approach. The population in this study was the staff in the medical record room at Padangsidimpuan City Hospital with a sample size of 20 staff (total population units). Research data were collected through interviews and questionnaires. The data analysis technique used is descriptive analysis with percentages. The findings of the study showed that the majority of staff in the medical record room had a high work productivity category in the implementation of HMIS activities in Padangsidimpuan City Hospital, as many as 60% while 40% of staff had low work productivity. The analysis shows that work motivation, ability, wages, work environment, and staff work discipline are factors that influence the work productivity of staff in the medical record room in the implementation of HMIS. Thus, it was concluded that the majority of staff in the medical records room at Padangsidimpuan City Hospital had high category productivity and factors affecting the work productivity of staff in the medical record room in the implementation of HMIS activities at the Padangsidimpuan City Hospital, including work motivation, staff ability, wages, work environment, and work discipline.
Hubungan antara Faktor Stress dengan Penyakit Gastritis Pada Mahasiswa Universitas Prima Indonesia Christine Wijaya; Clinton Antony; Suhartina Suhartina; Sri Lestari Ramadhani Nasution
Majalah Kedokteran Andalas Vol 45, No 3 (2022): Online July 2022
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v45.i3.p278-283.2022

Abstract

Gastritis merupakan kondisi dimana mukosa lambung meradang disebabkan oleh iritasi dan infeksi. Gastritis terjadi bila penyakit “hanya” menyebabkan radang lambung, dan tukak lambung terjadi bila penyakit tersebut menyebabkan tukak lambung atau yang biasa kita sebut tukak lambung. Berdasarkan data kesehatan terpercaya di Indonesia tahun 2016, gastritis termasuk dalam kategori 10 penyakit terbanyak dengan pasien rawat inap di rumah sakit di Indonesia dengan jumlah kasus 380.744 kasus. Diketahui salah satu faktor resiko gastritis adalah sering mengalami stress yang berkepanjangan, dimana hal ini sering dijumpai pada pelajar maupun mahasiswa, memicu produksi asam lambung yang berlebihan; tujuan untuk memahami hubungan antara kejadian stres pada mahasiswa dengan kejadian gastritis pada Fakultas Kedokteran Universitas Prima Indonesia. Jenis penelitian ini menggunakan penelitian observasional analitik deskriptif dengan pendekatan cross-sectional. Sampel yang digunakan adalah mahasiswa dan mahasiswi Tahun Ajaran 2020/2021 Fakultas kedokteran Universitas Prima Indonesia yang berstatus aktif dengan total 94 orang. Pengumpulan data dilakukan dengan kuisioner dan kemudian dianalisa dengan uji Chi-Square, yaitu 37 orang (39.4%) mengalami kekambuhan gastritis dan 57 orang (60.6%) lainnya tidak mengalami kekambuhan gastritis dan diperoleh hasil uji Chi-Square hubungan antara stress dengan kekambuhan gastritis p=0,001 (p<0,05), maka dapat disimpulkan bahwa semakin meningkatnya stres seseorang, semakin meningkatnya peluang untuk mengalami kekambuhan gastritis.
An Evaluation of Implementation Nosocomial Infection Prevention and Control Program in The Space Covid-19 Isolation at Hospital Royal Prima Medan Tommy Adhi Wijaya; Ermi Girsang; Sri Lestari Ramadhani Nasution
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6455

Abstract

An Infectious diseases are still one of the health problems in the world, including in Indonesia. According to the World Health Organization (WHO) in 2013, the percentage of nosocomial infections in hospitals worldwide reached 9% (variation 3 – 21%) or more than 1.4 million hospitalized patients worldwide had nosocomial infections. At the end of 2019, there was an outbreak of a virus called Corona Virus Disease / COVID-19 in Wuhan City, China. Efforts to minimize the risk of infection in Royal Prima Hospital and other health facilities need to be implemented in infection prevention and control (PPI). Researchers are interested in evaluating how to implement a nosocomial infection prevention and control program in the COVID-19 isolation room at Royal Prima Hospital Medan. This research used is qualitative research with a descriptive approach with the method of determining the informants using purposive selection. The research was carried out in the Covid-19 Isolation Room of Royal Prima Hospital Medan. The sources of data or sources of information in the study were parties who were considered competent in providing internal information at the Royal Prima Medan Hospital related to nosocomial infections as many as 7 people consisting of the head of the Covid-19 isolation room at the RSU Royal Prima, PPI Team (Infection Prevention and Control in Hospitals) Royal Prima General Hospital, Five nurses on duty to nurse patients in the Covid-19 isolation room at Royal Prima Hospital. The results showed that the implementation of the infection prevention and control program at the Royal Prima Hospital was running well. Management support has been running optimally.
Analysis of Costs, Tariffs and Utilization of Increased Cost Recovery Rates Ermi Girsang; Sri Lestari Ramadhani Nasution; Ibnu Rushd; Primanita Novi Andriati
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6032

Abstract

Analysis of costs, tariffs and utilization of the Cost Recovery Rate (CRR) are important things to consider in providing health services. This study aims to analyze rates, costs and utilization in increasing CRR at Harapan Bunda Hospital. The type of research is quantitative and qualitative. The participants of this study were the Director, Head of Medical Services, Head of Finance, Head of Marketing, with 5 participants, quantitatively the samples taken were the top 5 diseases that were analyzed in 2019-2020. Collecting data with primary and secondary data, data were analyzed by reduction, data display and data verification. The results showed that there was a change in CRR every year, the method of determining service product rates and their comparison with competitor hospital rates in Batam, the number of patients with the disease, which amounted to 4222 people, only about 53 people were discharged dead for various reasons, the strategy adopted by the Harapan Bunda Hospital in increasing CRR is to promote several superior service products. The author suggests to further researchers using different methodologies, and to related staff and health workers to increase motivation and service quality, so as to make health care facilities to get better.
An Analysis of Total Quality Management (TQM) Implementation on BPJS Patients at Hospital Royal Prima Medan Muhammad Insan Andika; Ermi Girsang; Sri Lestari Ramadhani Nasution; Gusbakti Gusbakti
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6998

Abstract

The quality of health services is essential in health service organizations in increasing public awareness about health and health services, encouraging every organization to be quality conscious in providing services to service users of health service organizations, Total Quality Management (TQM) is a customer-oriented approach that introduces changes in management that systematic and continuous improvement, which is suitable to meet the quality needs of customers, which is simply a quality product or service if it can satisfy its customers. This study aimed to analyze the implementation of Total Quality Management (TQM) for BPJS inpatients at Royal Prima Hospital Medan. The sample in this study were 133 nurses, data analysis used univariate, bivariate and multivariate analysis.with the level of relationship with the category enough,Respondents' assessment was based on the teamwork variable, the majority of respondents answered satisfactorily, the results showed that there was a relationship between the teamwork variable and the satisfaction of BPJS inpatients at Royal Prima Hospital Medan with a relationship level with a strong category,Respondents' assessment was based on the variable of periodic system improvement, the majority of respondents answered satisfactorily, the results showed that there was a relationship between the variable of irregular system improvement on the satisfaction of BPJS inpatients at Royal Prima Hospital Medan with a relationship level with a strong category.
The Compliance Evaluation of Type-2 Diabetes Mellitus Patients Treating Therapy Diet Review from Theory of Planned Behavior Sri Lestari Ramadhani Nasution; M. Ridho Fitra Alamsya; Ermi Girsang
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6739

Abstract

Diabetes mellitus (DM) is a chronic condition that occurs when there is an increase in blood glucose levels because the body cannot produce insulin or use insulin effectively. This study aims to evaluate more in-depth information about compliance with Type-2 DM undergoing diet therapy from the perspective of the Theory of Planned Behavior. The informants in this study consisted of 17 informants consisting of 1 Doctor, 1 Nurse, and 15 Type 2 DM patients. This type of research was qualitative using in-depth interviews related to dietary compliance with Type 2 DM patients, then analyzed by triangulation. The results showed that diet-adherent behavior was significantly influenced by attitudes, subjective norms, individual behavior control, and intentions. The amount of intention and obedient attitude and behavior possessed by Type 2 DM patients will make it easier for Type 2 DM patients to carry out diet therapy. The level of adherence to diet therapy in this study with a high category of 10 patients with a percentage of 66.7%, patients with a level of adherence to diet therapy with a moderate category of 4 patients with a percentage of 26.7%, and patients with a level of adherence to diet therapy with a low category as many as 1 patient with a percentage of 6.7%. The amount of intention and obedient attitude and behavior possessed by Type 2 DM patients will make it easier for Type 2 DM patients to carry out diet therapy.
Affecting Factors BPJS Users on the Tiered Referral System in the Pokenjior Community Health Center, Padang Sidempuan City Ria Hartaty; Sri Lestari Ramadhani Nasution; Ali Napiah Nasution; Ermi Girsang
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 4, No 2 (2021): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i2.1860

Abstract

This study aims to determine the factors that influence BPJS users of the Tiered Referral System in the Work Area of Pokenjior Health Center, Padangsidimpuan City. This research is an analytical research type with explanatory research type. The populations in this study were all BPJS users or patients undergoing health services at the Pokenjior Public Health Center in Padang Sidempuan City with a sample of 98 patients participating in the Health BPJS. Data were collected using a questionnaire and analyzed using the Pearson Correlation test and multiple logistic regression tests. The results showed that there was an influence of BPJS user knowledge (p = 0.007), officer attitudes (p = 0.003), availability of infrastructure and human resources (p = 0.002), and referral information (p = 0.003) to the tiered referral system at Pokenjior Public Health Center. The results of multivariate analysis and modeling show that BPJS user knowledge, availability of infrastructure, and human resources and referral information are the dominant factors influencing the tiered referral system. Thus it was concluded that the knowledge factor of BPJS users, the availability of infrastructure and human resources as well as the referral information had a significant effect on the tiered referral system in Pokenjior Public Health Center, and the availability of infrastructure and human resources was the biggest or most dominant factor affecting the tiered referral system in the work area Pokenjior Public Health Center in Padangsidimpuan City